This is point-prevalence, so shows the trend really well. It’s not a small sample. All conscripts of 21 year old have to go for (anonymous) HIV testing. At the moment, prevalence is 0,9% among the same demographic group. Key factor contributing to this progress after a 10-year research: LOCAL RESPONSES through ownership.
Progress in other countries as well, for example in Uganda.
Community life competence e nv3
The Constellation Our starting point Ownership + strengths = local response
Let’s ask ourselves a question…..…can communities progress in terms of HIV?
They can in Northern Thailand….Source: HIV and Health Care Reform in Phayao. UNAIDS, Geneva, April 2000.
They could in Uganda….. HIV prevalence rate among 13-19 year old in Masaka, Uganda Source: Kamall et al. AIDS 2000, 14: 427-434
Progress also happens in Tanzania, BurkinaFaso and other countries…. The key question is...
In these countries, people have taken local ownership of the issue “This is OUR problem and we are going to do something about it!”
People drive effective Health services areresponses to HIV needed but don’t replace what people do for themselves
Once communities take ownership, they will respond locally to the issue Local Response LocaL Response Local ResponseLocal Response Local Response Local Response Local Response Local Response Local Response Local Response Local Response Local Response
What does this mean for a HIV strategy? Prevention Is a strategic Local pillar thatownership Care complements Mitigation
But, is local ownership enough to drive localresponses? …..
…….No, because communities underestimatetheir capacity “We know it’s a problem, but don’t have the resources to respond” “We are victims” “We are waiting for the experts”
Therefore, we must revealtheir capacity & strengths
Once communities know their strengths, theirself-confidence grows..…..
….and they’ll use their strengths to address their problems “We can do this together!”
Well, our experience around the world shows...
Communities are Stimulated to change behaviourwhen othersAppreciate their strengthsLearn actively and link them to othersTransfer their learning to other contextsThat is why our Way of Working is SALT
SALT reveals the community’s capacity to build a vision for the future, assess their situation, act, adapt and learn We call this cycle, the Community Life Competence Process.
UNAIDS Evaluation (2005)"between 83% and 87% [of AIDS CompetenceProcess users] are satisfied and confident that theprogram achieves impact within communities.WHO-UNICEF Evaluation Papua New Guinea (2009)“The AIDS Competence Process is an effectiveapproach in combating HIV/AIDS through localempowerment. For its low-cost but often laborintensive input of resources, the output has beensubstantial.”Roll Back Malaria / MACEPA Evaluation (2008)“The Malaria Competence process is very likely tofoster a strong sense of community ownership andled to a surge in community-led initiatives”
And read hundreds of blogs from more than 20 countries on www.aidscompetence.ning.com
The process is cost-effective“The AIDS Competence Programme was foundto be highly cost-effective when compared toother programmes (0.10 to US$ 2.00 per personreached )” – UNAIDS (2005)The Constellation is cost-effective“The administrative overhead costs of theConstellation in 2008 amounted to 5,8% “ -Belgian Ministry of Finance (2009)Tools and online course can be accessed for free
1. Visit our website:www.communitylifecompetence.org2. Join our online community:www.aidscompetence.ning.com3. Apply SALT today. Learn more onwww.communitylifecompetence.org/whatyoucand4. Contact Gaston to see how we can firstname.lastname@example.org